Physiotherapy for the recovery of postural control and lower limb function following stroke

Physiotherapy using a mix of components from different approaches may be more effective than no treatment or placebo control in the recovery of functional independence following stroke.

A Cochrane review included 21 studies with a total of 1087 subjects. Eight trials compared a neurophysiological approach with another approach; eight compared a motor learning approach with another approach; and eight compared a mixed approach with another approach. A mixed approach was significantly more effective than no treatment or placebo control for improving functional independence (standardised mean difference [SMD] 0.94, 95% CI 0.08 to 1.80; 5 trials, n=427). There was no significant evidence that any single approach had a better outcome than any other single approach or no treatment control.

Comment: The quality of evidence is downgraded by limitations in study quality and by inconsistency (heterogeneity in interventions and outcomes).

Ədəbiyyat

1. Pollock A, Baer G, Pomeroy V, Langhorne P. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke. Cochrane Database Syst Rev 2007 Jan 24;(1):CD001920.